Diagnosis of clonorchiasis during and after biliary tract surgery: a clinical analysis of 15 cases
10.3969/j.issn.1001-5256.2016.11.026
- VernacularTitle:胆道外科手术中及术后发现肝吸虫病15例临床分析
- Author:
Wenlei QI
1
;
Ruoyan ZHANG
;
Wengang CHAI
Author Information
1. First Department of Hepatopancreatobiliary Surgery, The First Hospital of Jilin University, Changchun 130021, China
- Publication Type:Research Article
- Keywords:
fasciola, hepatica;
choledocholithiasis;
biliary tract surgical procedures
- From:
Journal of Clinical Hepatology
2016;32(11):2134-2137
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the clinical features of clonorchiasis diagnosed during biliary surgery, and to provide more comprehensive and effective information for the surgical treatment of clonorchiasis. MethodsA retrospective analysis was performed for the clinical data of 15 patients who were diagnosed with clonorchiasis during and after biliary tract surgery in our department from January 2013 to January 2016, and their clinical features were summarized. ResultsAll the 15 patients were male, among whom 5 once ate uncooked freshwater fish and shrimps. Of all patients, 8 underwent laparoscopic bile duct exploration and 7 underwent endoscopic retrograde cholangiopancreatography (ERCP). Adult Clonorchis sinensis was found in intraoperative or postoperative drainage. All the patients achieved clearance of Clonorchis sinensis after regular anthelmintic treatment. ConclusionIf bile duct exploration finds grey-black or bright-red melon seed-like floccules, clonorchiasis should be highly suspected. Intraoperative T-tube drainage is recommended, and if suspected Clonorchis sinensis is found after laparoscopic bile duct exploration and T-tube drainage or after ERCP and nasobiliary drainage, microbiological examination should be performed next. As for the patients with a definite diagnosis of clonorchiasis, they should not eat uncooked freshwater fish or shrimps and should be given regular anthelmintic treatment.
